Anesthetics Flashcards
1
Q
Midazolam (Versed) - Class & Indications
A
- Class: Benzodiazepine (Anesthetic)
-
Indications:
> moderate sedation for diagnostic procedures
> induction of anesthesia (surgery)
> sedation of intubated pts
> dcr anxiety prior to procedure
2
Q
Midazolam (Versed) - Onset/Peak/Duration (IV)
A
- Onset: 1-5min
- Peak: < 30mins
- Duration: 2-6hrs
3
Q
Midazolam (Versed) - Drug/Drug & AEs
A
- Drug-Drug: CNS depressants, opioids
-
AEs
> resp depression
> CNS depression
> amnesia
> bradycardia
> hypotension
> paradoxical reaction
4
Q
Midazolam (Versed) - Nursing Considerations
A
- Assume pt will remember things said/done during sedation/anesthesia
- Ensure life support equipment available
5
Q
Rocuronium - Class & MOA
A
- Class: Neuromuscular Blocking Drug
- MOA: bind to ACh receptors at neuromsuclar junction, blocking action of ACh; induces paralysis of skeletal muscle (peripheral to central)
6
Q
Rocuronium - Indication & Onset/Peak/Duration
A
- Indication: endotracheal intubation; surgery
- Onset: 1-2min
- Peak: 4min
- Duration: 30min
7
Q
Rocuronium - Nursing Considerations
A
Admin prescribed sedation prior to neuromuscular blocking agent
8
Q
Nurse Role: Moderate Sedation
A
- Ensure life support equipment readily available prior of procedure
- Ensure patent IV for admining drugs
- Gather supplies to admin drugs IVP
> syringes, alcohol prep, flushes, drug vials (midazolam, fentanyl common) - Monitor pt’s LOC & pain
- Monitor pt’s VS
- Alert PCP of concerning changes in pt status
- Monitor LOC & VS after procedure
9
Q
Nurse Role: Medically-Induced Coma
A
- Trained intensive care RN
- Assist w/ intubation of pt
- Gather supplies to admin IVP drugs (midazolam, rocuronium)
- Sequence: benzo/sedative, then paralytic
- Manage sedation to keep pt comfortable & tolerant of endotracheal tube
> IV infusions of midazolam & fentanyl - Taper drugs prior to extubating
